| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $2,691.53 | $8,317.64 | |
Capital Blue Cross
| Facility | $5,011.87 | $6,165.95 | $57,543.99 | |
Martin's Point
| Facility | $660.69 | $2,344.23 | $8,317.64 | |
Oscar Health
| Facility | $1,380.38 | $1,380.38 | $2,238.72 | |
UPMC Health Plan
| Facility | $208.93 | $758.58 | $1,174.90 | |
United
| Facility | $1,348.96 | $3,311.31 | $6,606.93 |